Imperial College London
Alternate

DrGabrielBirgand

Faculty of Medicine, Department of Infectious Disease

Honorary Research Fellow
 
 
 
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Contact

 

+44 (0)20 3313 2732g.birgand Website CV

 
 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Troughton:2018:10.1016/j.jhin.2018.06.006,
author = {Troughton, R and Birgand, G and Johnson, AP and Naylor, N and Gharbi, M and Aylin, P and Hopkins, S and Jaffer, U and Holmes, A},
doi = {10.1016/j.jhin.2018.06.006},
journal = {Journal of Hospital Infection},
pages = {378--385},
title = {Mapping national surveillance of surgical site infections (SSIs) to national needs and priorities: an assessment of England’s surveillance landscape},
url = {http://dx.doi.org/10.1016/j.jhin.2018.06.006},
volume = {100},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundThe rise in antimicrobial resistance has highlighted the importance of surgical site infection (SSI) prevention with effective surveillance strategies playing a key role in improving patient safety. This study maps national needs and priorities for SSI surveillance against current national surveillance activity.MethodsThis study analysed SSI surveillance in NHS hospitals in England covering 23 surgical procedures. Data collected were: (i) annual number of procedures, (ii) SSI rates from national reports, (iii) national reporting requirement (mandatory, voluntary, not offered), (iv) priority ranking from a survey of 84 English NHS hospitals, (v) excess length of stay and costs from the literature. The relationships between estimated SSI burden, national surveillance activity, and hospital-reported priorities were explored with descriptive and univariate analyses.FindingsAmong the 23 surgical categories analysed, top priority ranking by hospitals was associated only with current surveillance (r=0.76, p<0.01) and mandatory reporting (33% vs 8 and 4%, p=0.04). Percentage of hospitals undertaking surveillance, mandatory reporting, and the selection of priorities did not match SSI burden. Large bowel surgery (LBS, voluntary) and caesarean section (not offered) were the two highest contributors of total SSIs per annum, with 39,000 (38%) and 17,000 (16%) respectively, while the four orthopaedic categories (all mandatory) contributed 5,000 (5%). LBS also had the highest associated costs (£119m per annum).ConclusionCurrent surveillance and future priorities were not associated with SSI rate, volume, or cost to hospitals. The two highest contributors of SSIs and related costs have no (caesarean section) or limited (LBS) coverage by national surveillance.
AU  - Troughton,R
AU  - Birgand,G
AU  - Johnson,AP
AU  - Naylor,N
AU  - Gharbi,M
AU  - Aylin,P
AU  - Hopkins,S
AU  - Jaffer,U
AU  - Holmes,A
DO  - 10.1016/j.jhin.2018.06.006
EP  - 385
PY  - 2018///
SN  - 0195-6701
SP  - 378
TI  - Mapping national surveillance of surgical site infections (SSIs) to national needs and priorities: an assessment of England’s surveillance landscape
T2  - Journal of Hospital Infection
UR  - http://dx.doi.org/10.1016/j.jhin.2018.06.006
UR  - https://www.sciencedirect.com/science/article/pii/S0195670118303207?via%3Dihub
UR  - http://hdl.handle.net/10044/1/61067
VL  - 100
ER  -
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